An Approach to Repair Partial Mastectomy Defects
Abdel Rahman M ohamed Sayed;
Abstract
The female breast cis a vital and important organ in her body and one of the most important physical expressions of femininity. Removal or deformity of the breast will induce severe psychological disturbance. There is no other site of cancer that has been more widely researched with regard to its psychosocial impact than the breast cancer.
The goals of breast reconstruction are to resemble the normal breast and achievement of symmetry, by adopting the policy for breast reduction in patients with breast cancer, harboring a tumor in different locations on the basis of oncologic breast surgery, more over the other breast will be reduced in a symmetrical manner to achieve symmetry, and to review the different modalities of reconstruction of the breast after breast conservation therapy
Immediate reconstruction can be done when there is no oncological reason that may prevent it. The reconstruction may be delayed after completion of the courses of adjuvant chemotherapy and radiotherapy, waiting for resolution of lymphedema that may occur with the course of radiotherapy.
In planning the approach to the partial mastectomy defect, the surgeon must decide first whether the defect requires reparative surgery or not. If not, the wound is simply closed without drain. If surgical intervention is required, the surgeon must decide whether there is sufficient tissue left to reshape the breast, if so, reshaping is usually the best option, with reduction of opposite breast for symmetry. If there is no enough tissues left in the breast to form an adequate mound by reshaping, tissue must be added.
If the defect is not too large, local tissue is preferred because the surgical technique is simpler and the color and texture matches are better than the use of distant tissues,
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The goals of breast reconstruction are to resemble the normal breast and achievement of symmetry, by adopting the policy for breast reduction in patients with breast cancer, harboring a tumor in different locations on the basis of oncologic breast surgery, more over the other breast will be reduced in a symmetrical manner to achieve symmetry, and to review the different modalities of reconstruction of the breast after breast conservation therapy
Immediate reconstruction can be done when there is no oncological reason that may prevent it. The reconstruction may be delayed after completion of the courses of adjuvant chemotherapy and radiotherapy, waiting for resolution of lymphedema that may occur with the course of radiotherapy.
In planning the approach to the partial mastectomy defect, the surgeon must decide first whether the defect requires reparative surgery or not. If not, the wound is simply closed without drain. If surgical intervention is required, the surgeon must decide whether there is sufficient tissue left to reshape the breast, if so, reshaping is usually the best option, with reduction of opposite breast for symmetry. If there is no enough tissues left in the breast to form an adequate mound by reshaping, tissue must be added.
If the defect is not too large, local tissue is preferred because the surgical technique is simpler and the color and texture matches are better than the use of distant tissues,
183
Other data
| Title | An Approach to Repair Partial Mastectomy Defects | Other Titles | المدخل الى طرق علاج التشوهات بعد استئصال أورام الثدى | Authors | Abdel Rahman M ohamed Sayed | Issue Date | 2002 |
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